AI Article Synopsis
- Congenital esophageal atresia (CES) is a rare condition that complicates diagnosis due to varying symptom severity, often associated with esophageal atresia (EA) and tracheoesophageal fistula (TEF).
- A retrospective review of 31 CES patients showed that those with EA-TEF (group A) were diagnosed and underwent surgery at a younger age compared to those without (group B), despite having similar ages for initial symptoms.
- Postoperative complications were more common in group A, indicating that patients with EA-TEF require closer monitoring after surgery.
Article Abstract
Purpose: Congenital esophageal atresia (CES) is a rare congenital disease. The severity of symptoms is variable; thus, diagnosis is difficult and tends to be delayed. CES is frequently accompanied by esophageal atresia (EA) with/without tracheoesophageal fistula (TEF). We investigated the characteristics of CES by reviewing our experience with CES patients and researched the differences between CES with EA-TEF and isolated CES.
Methods: A total of 31 patients underwent operations for CES were reviewed retrospectively. The patients were divided into two groups according to the association with EA-TEF, and compared the differences.
Results: Sixteen boys and 15 girls were included. The mean age at symptom onset was 8 months old, and the mean age at diagnosis was 21 months old. Nine patients with EA-TEF were included group A, whereas the other 22 patients were assigned to group B. There were no differences in sex, gestational age, associated anomalies and pathologic results between the groups. In group A, the age at diagnosis and age at surgery were younger than in group B despite the age at symptom occurrence being similar. Postoperative complications occurred only in group A.
Conclusion: In this study, symptoms occurred during the weaning period, and vomiting was the most frequent symptom. CES patients with EA-TEF tended to be diagnosed and treated earlier despite the age at symptom occurrence being similar. CES patients with EA-TEF had more postoperative complications; therefore, greater attention should be paid during the postoperative period.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5517383 | PMC |
| http://dx.doi.org/10.5223/pghn.2017.20.2.79 | DOI Listing |
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